孕妇对分娩方式的意愿及其原因

Maternal preference of delivery mode and its causes

目的:探讨孕妇对分娩方式的意愿及其相应原因。方法:采用前瞻性研究设计,在产前检查时开展面对面问卷调查。结果:931例孕妇中有9.67%明确表示正常情况下会选择剖宫产分娩,选择剖宫产分娩的前3位主要原因是“怕到时试产失败再开刀,吃两遍苦”、“怕阴道分娩时间长,风险大”以及“怕痛”,共占89.80%。多数孕妇愿意阴道分娩,主要原因是认识到了其对母婴健康的好处。孕妇产前对分娩方式的意愿对实际分娩方式有影响。影响孕妇对分娩方式选择意愿的因素有婚龄、家人对分娩方式的选择意向、对分娩的认识等。结论:多数孕妇愿意选择阴道分娩,选择剖宫产分娩者主要是出于对阴道分娩的惧怕心理,应当加强围产期保健,增强医生与孕妇生育知识的交流,从而减少孕妇因恐惧分娩疼痛等原因而要求的不合理剖宫产。

Objective： To ascertain maternal views regarding their acceptable mode of delivery and the causes for their preference at antepartum. Methods： Nulliparas without complicated pregnancy were interviewed face to face with questionnaires at antepartum in a prospective study. Results： At antepartum 9. 67% of the 931 subjects choose caesarean section definitely even without firm medical reasons.. 89. 80% of those who preferred caesarean section attributed their choice to the fear of vaginal delivery, especially the possible failure of vaginal trial and fear of labor pain. Women would like to choose vaginal delivery mostly because the vaginal delivery was beneficial to both mother and infant＇s health, and cound faster recovery. Their preference affected their actual delivery methods. The influential factors of their preference of delivery mode included marriage duration, their relatives attitude toward delivery mode, and their own information about labor and delivery. ~ Conclusion： Most women prefer vaginal delivery. Itg likely that fewer women will want caesarean delivery if they are assured a successful and less painful vaginal birth. It suggests that it will be important to make active communication with women about delivery mode and to improve the overall quality of obstetrical and prenatal care.